Health systems face challenges which are inherent to care demand and supply evolution (i.e., demographic change, new technologies) or are the results of unexpected occurrence originating outside the health system, such as economic shocks or epidemic outbreaks. Both challenges often require a paradigm shift in governance and organization, financing and resource allocation, accountability frameworks, as well as public health system responses. Based on key reviews and seminal papers of performance management, public health, sustainability and resilience, the article presents three emerging challenges for performance management systems in healthcare: i) the inclusion of the population approach; ii) the measurement and consideration of the multi-facets concepts of value; iii) the importance of resilience and sustainability. Performance management systems need to evolve to cope with this changing scenario. The article sheds light on uncovered areas by performance management, and it proposes a research agenda for scholars of both performance management and health service research.

中文翻译：

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全季节医疗保健中的绩效管理系统？

卫生系统面临的挑战是护理需求和供应演变所固有的挑战（即人口变化，新技术），或者是源自卫生系统之外的意外事件（例如经济冲击或流行病爆发）的结果。这两个挑战通常都需要在治理和组织，筹资和资源分配，问责制框架以及公共卫生系统的应对方式上进行范式转变。基于绩效管理，公共卫生，可持续性和复原力的关键评论和开创性论文，本文提出了卫生保健绩效管理系统的三个新兴挑战：i）纳入人口方法；ii）衡量和考虑价值的多方面概念；iii）韧性和可持续性的重要性。绩效管理系统需要发展以应对这种不断变化的情况。本文通过绩效管理揭示了未发现的领域，并为绩效管理和卫生服务研究的学者们提出了研究议程。